Individual provider Active NPI

Heather Quinn Cassidy-Drain, RN

  • General Practice Registered Nurse
  • Avon, OH
National Provider Identifier
1982264776
Registry record updated Jun 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
RN-260694 Issued in OH
Practice address
2455 Stonefield Dr
Avon, OH 44011-4706
Phone
(440) 934-0509
NPI assigned
Jun 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X RN-260694 OH Primary

Addresses

Primary practice location

2455 Stonefield Dr
Avon, OH 44011-4706

Mailing address

2455 Stonefield Dr
Avon, OH 44011-4706
Phone (440) 315-6909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN-260694OHMDGeneral Practice Registered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1560470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560470400000",
    "number": "1982264776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2455 STONEFIELD DR",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440114706",
            "telephone_number": "440-315-6909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2455 STONEFIELD DR",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440114706",
            "telephone_number": "440-934-0509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSIDY-DRAIN",
        "first_name": "HEATHER",
        "middle_name": "QUINN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-14",
        "last_updated": "2019-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "OH",
            "license": "RN-260694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.